NPIMap

Organization Active NPI

Brenaj Chiropractic Group LLC

Doing business as Pebblecreek Chiropractic Clinic

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1790810067
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8521 Issued in AZ
Legal business name
BRENAJ CHIROPRACTIC GROUP LLC
Doing business as
Pebblecreek Chiropractic Clinic
Practice address
325 N Alma School Rd Ste 1
Chandler, AZ 85224-4379
Phone
(480) 912-3003
Fax
(480) 264-3048
NPI assigned
Feb 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Adeyemo Ijiwoye, DCNPI 1578504221
Title
Member
Phone
(623) 535-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8521 AZ Primary

Addresses

Primary practice location

325 N Alma School Rd Ste 1
Chandler, AZ 85224-4379

Mailing address

325 N. Alma School Road
Suite 1
Chandler, AZ 85224-4379
Phone (480) 912-3003

Other identifiers 1

IdentifierTypeStateIssuer
AZ0155870OtherAZBLUECROSS BLUSHEILD AZ

Other names 1

  • Pebblecreek Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

325 N Alma School Rd
Ste 1
Chandler, AZ 85224
Phone (480) 418-4386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790810067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. ALMA SCHOOL ROAD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244379",
            "telephone_number": "480-912-3003",
            "fax_number": "480-264-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244379",
            "telephone_number": "480-912-3003",
            "fax_number": "480-264-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENAJ CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IJIWOYE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ADEYEMO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-535-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUSHEILD AZ",
            "identifier": "AZ0155870",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pebblecreek Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.